Healthcare Provider Details

I. General information

NPI: 1750658316
Provider Name (Legal Business Name): ANTHONY RICHARD ARREOLA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2011
Last Update Date: 04/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10315 19TH AVE SE SUITE 106
EVERETT WA
98208-4268
US

IV. Provider business mailing address

10315 19TH AVE SE SUITE 106
EVERETT WA
98208-4268
US

V. Phone/Fax

Practice location:
  • Phone: 425-338-5537
  • Fax: 844-783-6456
Mailing address:
  • Phone: 425-338-5537
  • Fax: 844-783-6456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH60251862
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: